| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.48 | $52.48 | $91.20 |
Aetna
| Professional | $181.97 | $204.17 | $354.81 | |
BCBS
| Professional | $457.09 | $457.09 | $457.09 | |
Cigna
| Professional | $208.93 | $436.52 | $489.78 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $190.55 | $251.19 | $630.96 |